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ICER Study On Coverage 'Fairness' Could Inform Manufacturer Pricing vs Benefit Design Debate

 
• By Cathy Kelly

Study will look at prior authorization, step therapy and required medication switching for drugs considered to be reasonably priced.

ICER 'Fair Access' Study Will Focus On Prior Authorization Requirements

The Institute for Clinical and Economic Review will examine coverage policies for more than two dozen drugs in the largest formularies of the leading commercial payers in the US to determine whether the plans are providing “fair” access to the treatments.

The evaluation will focus on the prior authorization policies for drugs priced within “reasonable” cost effectiveness ranges, as determined by...

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